Provider Demographics
NPI:1720121254
Name:MERZER, SHEILA E (MA LP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:E
Last Name:MERZER
Suffix:
Gender:F
Credentials:MA LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 MINNETONKA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5707
Mailing Address - Country:US
Mailing Address - Phone:952-928-7811
Mailing Address - Fax:952-928-7891
Practice Address - Street 1:4820 MINNETONKA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5707
Practice Address - Country:US
Practice Address - Phone:952-928-7811
Practice Address - Fax:952-928-7891
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1825103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent